Revenue Integrity Nurse Auditor - Remote

Overview

The Revenue Integrity Nurse Auditor is responsible for coordinating denial management processes, ensuring compliant clinical documentation, and identifying opportunities for revenue optimization in a fully remote role.

In Short

• Full-time remote position.
• Coordinate denial management and clinical documentation.
• Investigate denials and conduct thorough chart reviews.
• Collaborate with Revenue Integrity and PBS teams.
• Provide education to clinical colleagues.
• Track trends and implement process improvements.
• Maintain knowledge of healthcare regulations.
• Conduct retrospective audits of medical records.
• Support development of action plans for performance indicators.
• May require up to 25% travel within the region.

Requirements

• Registered Nurse or Licensed Vocational Nurse.
• Four years of nursing experience.
• Two years of charge audit or managed care experience preferred.
• Knowledge of revenue cycle and denial management.
• Experience with healthcare financing and payer relations.
• Excellent communication and organizational skills.
• Comfortable in a collaborative environment.
• Knowledge of medical coding (ICD-9, CPT, HCPCS) preferred.
• Customer service experience required.
• Ability to handle multiple tasks and meet deadlines.

Benefits

• Competitive salary based on experience.
• Comprehensive health benefits.
• Opportunities for professional development.
• Supportive work environment focused on diversity and inclusion.
• Flexible working arrangements.
• Access to continued education programs.
• Participation in a large healthcare network.
• Employee wellness programs.
• Retirement savings options.
• Paid time off and holidays.